Laryngotracheal resection for post scleromatous laryngeal stenosis

Abstract

Scleroma is an endemic disease in Egypt, which frequently results in subglottic laryngeal stenosis. Six patients suffering from laryngoscleroma are represented. They all underwent laryngotracheal resection of the stenosed segment, followed by direct anastomosis. The results were satisfactory in four of the patients. Surgery was abandoned in one patient who was believed to suffer from perichondritis following previous surgery. Restenosis occurred in a 14-year-old girl two weeks after surgery. This was attributed to recurrence, possibly due to residual activity of the disease which was missed before surgery.

Airway scleromas and their extensions

“…The case with subglottic and tracheal stenosis required sleeve resection, laryngeal drop, upward mobilization of trachea and laryngotracheal anastomosis using the ‘Dedo’ release technique . Rifai had six cases that underwent laryngotracheal resection of the stenosed segment followed by direct anastomosis. He had a successful outcome in four cases.…”

Scleroma of the lower respiratory tract: case report and review of literature

“…The management of scleromatous cicatricial lesions of the lower respiratory tract may involve periodic endoscopic dilatations (Tapia-Acufia, 1973), laser excision (Williams et al, 1982) or surgical resection and reconstruction of the involved segments of larynx and trachea (Tahae/ al., 198r;Rifai, 1989). The long-term use of intraluminal stents has been considered necessary when reconstructive surgery is used in the treatment of scleromatous laryngotracheal stenosis (Tapia-Acuna, 1973;Holinger et al, 1977;Taha et al, 1981) because residual or recurrent activity of the disease may be a setback for an initially successful surgery (Rifai, 1989).…”

Rhinoscleroma: Case Report

“…The Greek name “skleroma,” meaning hard tumefaction, was adopted in 1932 at the International Clinical Otorhinolaryngology Conference (in Madrid), emphasizing involvement of upper and lower airways 1 , 3 . It occurs frequently in the nasal fossae, eventually extending itself to the larynx, the rhinopharynx, the mouth and the paranasal sinuses; the lips, trachea and bronchi may also be affected to a lesser degree 4 , 5 . Extra-respiratory involvement has rarely been described 1 .…”